CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 09:07 UTC
Screener / 495155
B

ANNANDALE HEALTHCARE CENTER

snfVA
6700 COLUMBIA PIKE, ANNANDALE, VA 22003 · CCN 495155 · chain RRW LLC
Composite
42.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
222
Model
v1.2
Reads as: riskier than 42.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk86.183.20.300.230819.87in index
staffing risk60.160.10.250.192311.56in index
billing conduct38.134.90.300.23088.79in index
chow risk25.324.40.150.11542.92in index
financial risk11.220.20.300.23082.58in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

3
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsELEBIARY AHMED6 facilities
connectionOwner spans multiple chains5 chainsODENTHAL RICHARD85 facilities
connectionOwner fleet enforcement cluster50% finedELEBIARY AHMED6 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct34.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk23.7Av0.6default · in composite
financial risk20.2Av0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.1v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk83.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk60.1Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk53.1Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk33.1Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk29.3Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk25.9Bv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk83.2Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk83.2Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk60.1Cv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk60.1Cv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)9.24-0.95
Occupancy0.95-0.72
For-profit ownership1.00+0.69
Chain size (log)4.67+0.59
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.67-1.52
Deficiencies, last 12 months0.00+1.43
Occupancy0.95-0.83
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Facility size (log beds)5.41-0.22
Fine amount, 12m (log)0.00+0.18
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityVA medianNational medianNational p25–p75
Total nurse3.133.133.282.90–3.77
RN0.360.300.390.25–0.58
Weekend total2.962.963.11
Weekday total3.203.203.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492210.13.130.360.762.012.960.0%
2025Q392213.63.150.390.801.962.980.0%
2025Q291216.03.120.370.781.972.880.0%
2025Q190212.43.210.330.832.053.030.1%
2024Q492212.83.230.380.792.062.990.0%
2024Q392214.13.280.330.822.133.060.0%
2024Q291212.13.170.290.822.053.020.0%
2024Q191205.83.040.240.861.942.930.0%
2023Q492200.12.970.230.881.872.880.0%
2023Q392188.53.060.240.871.943.040.0%
2023Q291180.03.120.330.881.922.970.0%
2023Q190181.82.950.330.831.792.780.0%
2022Q492192.02.980.340.821.822.880.0%
2022Q392194.02.980.380.781.812.860.0%
2022Q291174.93.070.410.811.852.960.0%
2022Q190152.23.040.470.741.832.970.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2024-10-09Fine$90,896CMS provider data
Total fines on record: $90,896

Deficiencies

61
D × 44E × 13F × 2G × 1K × 1
deficiencies by survey year
351818202224
SurveyTypeTagDeficiencyScopeCorrected
2024-10-09Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-11-19
2024-10-09HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-11-19
2024-10-09HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2024-11-19
2024-10-09Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2024-11-19
2024-10-09HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2024-11-19
2024-10-09HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-19
2024-10-09HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-11-19
2024-10-09HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2024-11-19
2024-10-09HealthF0641Ensure each resident receives an accurate assessment.D2024-11-19
2024-10-09HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-11-19
2024-10-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-11-19
2024-10-09Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2024-11-19
2024-10-09HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-19
2024-10-09Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-11-19
2024-10-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-11-19
2024-10-09Health · complaintF0679Provide activities to meet all resident's needs.E2024-11-19
2024-10-09Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-16
2024-10-09HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2024-11-19
2024-10-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2024-11-19
2024-10-09HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-19
2024-10-09Health · complaintF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2024-11-19
2024-10-09HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E2024-11-19
2024-10-09Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2024-11-19
2024-10-09HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2024-11-19
2024-10-09HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-12-16
2024-10-09HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-11-19
2024-10-09HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2024-11-19
2024-10-09HealthF0760Ensure that residents are free from significant medication errors.D2024-11-19
2024-10-09HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.E2024-11-19
2024-10-09HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2024-11-19
2024-10-09Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-11-19
2024-10-09Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-19
2024-10-09Health · complaintF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E2024-11-19
2024-10-09HealthF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D2024-11-19
2024-10-09Health · complaintF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D2024-11-19
2021-03-05HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2021-07-01
2021-03-05HealthF0558Reasonably accommodate the needs and preferences of each resident.D2021-07-01
2021-03-05HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2021-03-29
2021-03-05HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2021-03-29
2021-03-05HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2021-03-29
2021-03-05HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2021-03-29
2021-03-05HealthF0641Ensure each resident receives an accurate assessment.D2021-07-01
2021-03-05HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2021-07-01
2021-03-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2021-05-04
2021-03-05HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2021-07-01
2021-03-05HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2021-05-04
2021-03-05HealthF0814Dispose of garbage and refuse properly.F2021-03-29
2021-03-05HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2021-07-01
2021-03-05HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2021-03-29
2021-03-05HealthF0880Provide and implement an infection prevention and control program.D2021-03-29
2018-08-23HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2018-09-26
2018-08-23HealthF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.D2018-09-26
2018-08-23HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2018-09-26
2018-08-23HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2018-09-26
2018-08-23HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E2018-09-26
2018-08-23HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2018-09-26
2018-08-23HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2018-09-26
2018-08-23HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2018-09-26
2018-08-23HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2018-09-26
2018-08-23HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2018-09-26
2018-08-23HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2018-09-26
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

27
OwnerRolePctFromStatusSource
PC MSTR LSCO, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-05-01currentpecos_ownership
COLUMBIA MGT CO., LLCADP OF THE SNF2025-06-26currentpecos_ownership
COLUMBIA MGT CO., LLCOPERATIONAL/MANAGERIAL CONTROL2020-12-01currentpecos_ownership
ELEBIARY, AHMEDADP OF THE SNF2023-04-01currentpecos_ownership
GROVES, DONNAOPERATIONAL/MANAGERIAL CONTROL2023-04-14currentpecos_ownership
ODENTHAL, RICHARDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-04-23currentpecos_ownership
ROMEO, DOMINICOPERATIONAL/MANAGERIAL CONTROL2023-04-01currentpecos_ownership
STOLTZ, CHARLESOPERATIONAL/MANAGERIAL CONTROL2017-05-01currentpecos_ownership
WALTON, DEAULOADP OF THE SNF2025-03-31currentpecos_ownership
WILHEIM, RONALDCORPORATE OFFICER2017-05-01currentpecos_ownership
RRW, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST93%2017-05-01ended 2026-05-18pecos_ownership
SKILLED HC HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST93%2017-05-01ended 2026-05-18pecos_ownership
I. ROSEDALE FAMILY INVESTMENT COMPANY INC5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2017-05-01ended 2026-05-18pecos_ownership
I. ROSEDALE IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2017-05-01ended 2026-05-18pecos_ownership
ROSEDALE FAMILY INVESTMENT COMPANY, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2017-05-01ended 2026-05-18pecos_ownership
S.L. ROSEDALE IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2017-05-01ended 2026-05-18pecos_ownership
WILHEIM FAMILY INVESTMENT COMPANY, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2017-05-01ended 2026-05-18pecos_ownership
R.S. WILHEIM IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST16%2017-05-01ended 2026-05-18pecos_ownership
RONALD S WILHEIM 2012 SPOUSAL TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2017-05-01ended 2026-05-18pecos_ownership
C.R. STOLTZ FAMILY INVESTMENT COMPANY INC5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2017-05-01ended 2026-05-18pecos_ownership
C.R. STOLTZ IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2017-05-01ended 2026-05-18pecos_ownership
AHMED ELEBIARYADP OF THE SNF2023-04-01ended 2026-05-18pecos_ownership
CHARLES STOLTZOPERATIONAL/MANAGERIAL CONTROL2017-05-01ended 2026-05-18pecos_ownership
DEAULO WALTONADP OF THE SNF2025-03-31ended 2026-05-18pecos_ownership
DOMINIC ROMEOOPERATIONAL/MANAGERIAL CONTROL2023-04-01ended 2026-05-18pecos_ownership
DONNA GROVESOPERATIONAL/MANAGERIAL CONTROL2023-04-14ended 2026-05-18pecos_ownership
RONALD WILHEIMCORPORATE OFFICER2017-05-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2017-05-01COLUMBIA LEASING CO LLCBEVERLY ENTERPRISES - VIRGINIA, INCchow

Comparable trades — VA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Woodstock Valley Health and Rehabilitation88803 SOUTH MAIN STREET OPCO LLC
2025-06-01Jamestown Health and Rehabilitation901811 JAMESTOWN ROAD OPCO LLC
2025-06-01Windsor Grove Health and Rehabilitation11423352 COURTHOUSE HIGHWAY OPCO LLC
2025-06-01Grayson Health and Rehabilitation120400 SOUTH INDEPENDENCE AVENUE OPCO LLC
2025-06-01SKYLINE NURSING & REHABILITATION90237 FRANKLIN PIKE ROAD SE OPCO LLC
2025-06-01KINGS DAUGHTERS COMMUNITY HEALTH & REHAB1171410 NORTH AUGUSTA STREET OPCO LLC
2025-06-01Ghent Health and Rehabilitation2223900 LLEWELLYN AVENUE OPCO LLC
2025-06-01ASHLAND NURSING AND REHABILITATION190906 THOMPSON STREET OPCO LLC
2025-05-19The Boulevard Post Acute81BOULEVARD OPERATOR LLC
2025-05-01FRANCIS MARION MANOR HEALTH & REHABILITATION109FRANCIS MARION OPERATING GROUP LLC
2024-09-01POPLAR HILL HEALTH AND REHAB113FAUQUIER OPCO LLC
2024-05-01NORTHERN CARDINAL REHABILITATION AND NURSING120NORTHERN CARDINAL REHABILITATION AND NURSING LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 51059acs median gross0$1,9682024-12-31CENSUS_ACS5
county 51059fmr0$1,9532025-10-01HUD_USER_FMR
county 51059acs median gross1$1,9542024-12-31CENSUS_ACS5
county 51059fmr1$2,0152025-10-01HUD_USER_FMR
county 51059acs median gross2$2,2732024-12-31CENSUS_ACS5
county 51059fmr2$2,2462025-10-01HUD_USER_FMR
county 51059acs median gross3$2,7352024-12-31CENSUS_ACS5
county 51059fmr3$2,8352025-10-01HUD_USER_FMR
county 51059acs median gross4$3,2602024-12-31CENSUS_ACS5
county 51059fmr4$3,3322025-10-01HUD_USER_FMR
county 51059acs median gross5$3,5012024-12-31CENSUS_ACS5
county 51059acs median gross$2,2762024-12-31CENSUS_ACS5
county 51059acs recent mover gross$2,3412024-12-31CENSUS_ACS5
zcta 22003acs median gross0$1,7002024-12-31CENSUS_ACS5
zcta 22003acs median gross1$1,6712024-12-31CENSUS_ACS5
zcta 22003acs median gross2$1,9232024-12-31CENSUS_ACS5
zcta 22003acs median gross3$2,5022024-12-31CENSUS_ACS5
zcta 22003acs median gross4$2,7202024-12-31CENSUS_ACS5
zcta 22003acs median gross5$3,4822024-12-31CENSUS_ACS5
zcta 22003acs median gross$2,0082024-12-31CENSUS_ACS5
zcta 22003acs recent mover gross$2,1782024-12-31CENSUS_ACS5
zip 22003payment standard 1100$2,1562025-10-01HUD_USER_SAFMR
zip 22003payment standard 900$1,7642025-10-01HUD_USER_SAFMR
zip 22003safmr0$1,9602025-10-01HUD_USER_SAFMR
zip 22003payment standard 1101$2,2222025-10-01HUD_USER_SAFMR
zip 22003payment standard 901$1,8182025-10-01HUD_USER_SAFMR
zip 22003safmr1$2,0202025-10-01HUD_USER_SAFMR
zip 22003payment standard 1102$2,4752025-10-01HUD_USER_SAFMR
zip 22003payment standard 902$2,0252025-10-01HUD_USER_SAFMR
zip 22003safmr2$2,2502025-10-01HUD_USER_SAFMR
zip 22003payment standard 1103$3,1242025-10-01HUD_USER_SAFMR
zip 22003payment standard 903$2,5562025-10-01HUD_USER_SAFMR
zip 22003safmr3$2,8402025-10-01HUD_USER_SAFMR
zip 22003payment standard 1104$3,6742025-10-01HUD_USER_SAFMR
zip 22003payment standard 904$3,0062025-10-01HUD_USER_SAFMR
zip 22003safmr4$3,3402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.